腰椎间盘突出症术后同间隙再突出  

Recurrence of Same Level after Lumbar Disc Herniation Resection

作　　者：万年宇[1] 徐青镭[1] 宫岩虎[1] 

机构地区：[1]中国人民解放军第401医院,山东青岛266071

出　　处：《中国伤残医学》2007年第5期5-6,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:为提高腰椎间盘突出症的手术效果,探讨同间隙再突出的原因。方法:对32例术后同间隙复发的病人进行回顾性研究。结果:同间隙复发的主要原因是髓核未摘干净,加以脊柱退变,脊柱不稳,导致残存的髓核再突出或脱出。结论:要防止腰椎间盘术后同间隙再突出,术中髓核应尽力摘净。应首选开窗手术,术中尽力保留小关节,对有脊柱不稳,小关节切除过多,全椎板切除者应脊柱内固定融合术。Objective： To discuss the cause of the recurrence of the same level after lumbar disc herniation resection and improve the operation effect of lumbar disc herniation resection. Methods： 32cases of such patieut were studied retrospectively Results： The main cause of recurrence of the same level after lumbar disc herniation resection was incomplete resection, with the contribution of spinal degeneration as well as instability, the remain tissue re-herniated. Conclusion： The herniation tissue should be resected as complete as possible. The open-window procedure should be considered firstly and the facet joint should be preserved. For those with spinal instabilty, facet resection as well as total laminectomy, spinal arthrodesis with instrumentation should be considered.

关 键 词：腰椎间盘突出症术后 同间隙再突出 

分 类 号：R681.5[医药卫生—骨科学]